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NPI Code Detail

MEDICARE: JAMRON COUNSELING

MEDICARE: JAMRON COUNSELING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor005792NY

General Provider Information

NPI Number : 1841730413
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMRON COUNSELING
Provider Business Mailing Address
First Line : 119 TAAFFE PL
Second Line : 1L
City : BROOKLYN
State : NY
Zip : 11205-1493
Country : US
Telephone Number : 774-364-1000
Fax Number :
Provider Business Practice Location Address
First Line : 252 JAVA ST
Second Line : 331
City : BROOKLYN
State : NY
Zip : 11222-5424
Country : US
Telephone Number : 774-364-1000
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : COLIN JAMRON
Credential :
Telephone Number : 774-364-1000
Provider Enumeration Date : 03/02/2017
Last Update Date : 03/02/2017

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